NPIViewer - Provider NPI 1316158983

NPI:	1316158983
Name:	A.W. HOLDINGS, LLC
Entity type:	Organization
Organization Name:	A.W. HOLDINGS, LLC
Other - Org Name:	<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:	CEO
Authorized Official - Prefix:
Authorized Official - First Name:	DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:	BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	260-744-6145
Mailing Address - Street 1:	8515 BLUFFTON RD
Mailing Address - Street 2:
Mailing Address - City:	FORT WAYNE
Mailing Address - State:	IN
Mailing Address - Zip Code:	46809-3022
Mailing Address - Country:	US
Mailing Address - Phone:	260-744-6145
Mailing Address - Fax:	260-444-0006
Practice Address - Street 1:	8515 BLUFFTON RD
Practice Address - Street 2:
Practice Address - City:	FORT WAYNE
Practice Address - State:	IN
Practice Address - Zip Code:	46809-3022
Practice Address - Country:	US
Practice Address - Phone:	260-744-6145
Practice Address - Fax:	260-444-0006
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2007-05-25
Last Update Date:	2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:

Primary?	Code	Type	Classification	Specialization	Group
Yes	103TM1800X	Behavioral Health & Social Service Providers	Psychologist	Intellectual & Developmental Disabilities	Group - Single Specialty
No	103K00000X	Behavioral Health & Social Service Providers	Behavior Analyst		Group - Single Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Single Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Single Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Single Specialty
No	251C00000X	Agencies	Day Training, Developmentally Disabled Services		Group - Single Specialty
No	251E00000X	Agencies	Home Health		Group - Single Specialty
No	251S00000X	Agencies	Community/Behavioral Health		Group - Single Specialty
No	251X00000X	Agencies	Supports Brokerage		Group - Single Specialty
No	252Y00000X	Agencies	Early Intervention Provider Agency		Group - Single Specialty
No	315P00000X	Nursing & Custodial Care Facilities	Intermediate Care Facility, Intellectual Disabilities		Group - Single Specialty
No	320900000X	Residential Treatment Facilities	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Group - Single Specialty

State	Identifier ID	ID Type	Issuer
IN	100244730	Medicaid
IN	200824450	Medicaid
IN	200833320	Medicaid
IN	200839230	Medicaid
IN	100229860	Medicaid
IN	100239820	Medicaid
IN	100244330	Medicaid
IN	100244500	Medicaid
IN	200460480	Medicaid
IN	200462800	Medicaid
IN	200889050	Medicaid
IN	200889890 A	Medicaid
IN	100240120	Medicaid
IN	200453450	Medicaid
IN	200460460	Medicaid
IN	200474890	Medicaid
IN	200494750	Medicaid
IN	200842740	Medicaid
MO	856345301	Medicaid
IN	100249000	Medicaid
IN	200714100	Other	FIRST STEPS
IN	200889020	Medicaid
IN	200889040	Medicaid
IN	200247700	Medicaid
IN	200447350	Medicaid
IN	200460470	Medicaid
IN	200512660	Medicaid
IN	200889030	Medicaid
IN	200889890 B	Medicaid
IN	200897270	Medicaid
IN	200453440	Medicaid
IN	200449220	Medicaid
IN	200510050	Medicaid
IN	200851580	Medicaid
OH	2746210	Medicaid